Individual
TREVOR NEWBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8081 HOLLAND DR, HUNTINGTON BEACH, CA 92647-6345
(310) 987-0209
Mailing address
8081 HOLLAND DR, HUNTINGTON BEACH, CA 92647-6345
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
BOC256909
CA
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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